2001
DOI: 10.1155/2001/376352
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The Classification of Patients with Chronic Pain: Age and Sex Differences

Abstract: There are important age and sex differences in the clinical presentations of chronic pain patients. Some older patients present with unique clinical profiles that may reflect cohort differences, and/or physiological or psychological adjustment processes. There appears to be a greater number of distinct chronic pain presentations among females. Research on the classification of chronic pain patients within homogeneous diagnostic subgroups is needed.

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Cited by 53 publications
(38 citation statements)
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“…[e.g.,19,38,39,52,76,81,82,95] In the current study, the initial analyses supported these past findings in that as age increased, perceived life satisfaction also increased, and catastrophizing, depression, pain intensity, and pain interference decreased. However, when catastrophizing and depression were included in the multivariate model as predictor variables, these age-related findings became non-significant, suggesting that the pain-related dependent variables were more strongly associated with catastrophizing and depression than with age per se.…”
Section: Discussionsupporting
confidence: 86%
“…[e.g.,19,38,39,52,76,81,82,95] In the current study, the initial analyses supported these past findings in that as age increased, perceived life satisfaction also increased, and catastrophizing, depression, pain intensity, and pain interference decreased. However, when catastrophizing and depression were included in the multivariate model as predictor variables, these age-related findings became non-significant, suggesting that the pain-related dependent variables were more strongly associated with catastrophizing and depression than with age per se.…”
Section: Discussionsupporting
confidence: 86%
“…Several authors have used taxonomic methodologies to identify subgroups of patients with chronic pain on the basis of the previously mentioned factors. 5,12,14,37,46,66,73,76 Two subgroups or clusters have been consistently identified across multiple studies. The first cluster is classically characterized by high pain outcome measures (ie, high pain severity, depression, and disability).…”
mentioning
confidence: 95%
“…64,74 In addition, a third cluster of patients with chronic pain reflects an intermediate clinical pain outcomes profile (ie, medium pain severity, depression, and disability). 12,14,35,36 The evidence is unclear whether patients with chronic pain within the same cluster have similar pain outcome measures when stratified by demographic variables such as race, age, and gender. This is particularly salient, because there is convincing evidence that racial and ethnic minorities, older people, and women experience pain differently, which might lead to worse outcomes.…”
mentioning
confidence: 99%
“…(34) Furthermore, according to some studies, men and women tend to use different coping styles when in pain. (34)(35)(36) The lack of a standardised definition for PLP and heterogeneity among the patient groups recruited by the various reports hinder efforts to make comparisons across studies. For instance, in the study by Bosmans et al, PLP was defined as daily pain, and consequently, patients with less frequent occurrence of symptoms were excluded.…”
Section: Discussionmentioning
confidence: 99%